Профессиональные аспекты новой коронавирусной инфекции (COVID-19)
https://doi.org/10.31089/1026-9428-2021-61-2-103-114
Аннотация
Представлен анализ современной зарубежной и отечественной литературы, нормативно-правовых актов, отражающих профессиональные аспекты новой коронавирусной инфекции COVID-19. Рассмотрены риски заражения COVID-19 медицинских и немедицинских работников. Показаны современные представления о новой коронавирусной инфекции COVID-19 как профессиональном заболевании. Представлены особенности работы системы здравоохранения и службы медицины труда в период пандемии COVID-19.
Ключевые слова
коронавирусная инфекция,
профессиональные риски,
профилактика,
медицинские работники,
медицина труда
Об авторах
Юрий Юрьевич Горблянский
ФГБОУ ВО «Ростовский государственный медицинский университет» Минздрава России
Россия
Россия
Зав. каф. профпатологии (с курсом медико-социальной экспертизы) ФГБОУ ВО «Ростовский государственный медицинский университет» Минздрава России, д-р мед. наук, профессор.
e-mail: gorblyansky.profpatolog@yandex.ru
Е. П. Конторович
ФГБОУ ВО «Ростовский государственный медицинский университет» Минздрава России
Россия
Россия
О. П. Понамарева
ФГБОУ ВО «Ростовский государственный медицинский университет» Минздрава России
Россия
Россия
Е. И. Волынская
ГБУ РО «Областная клиническая больница № 2»
Россия
Россия
Список литературы
1. Wu Y.C., Chen C.S., Chan Y.J. The outbreak of COVID-19: an overview. J. Chin. Med. Assoc. 2020; 83 (3): 217-20. https://doi.org/10.1097/JCMA.0000000000000270
2. Daher A., Balfanz P., Cornelissen C., Hartman B., Dreher M., Muller T. Follow up of patients with severe coronavirus disease 2019 (COVID-19) Pulmonary and extrapulmonary disease sequelae. 2020. https://doi.оrg/10.1016/j.rmed.2020.106197
3. Бухтияров И.В. Современное состояние и основные направления сохранения и укрепления здоровья работающего населения России. Мед. труда и пром. экол. 2019; (9): 527-532. https://doi.org/10.31089/1026-9428-2019-59-9-527-532
4. Бояркина С.И. Условия труда российских врачей: риски для здоровья и инфекционной безопасности. Вестник СПбГУ. Социология. 2018; 11 (3): 346-59. https://doi.org/10.21638/spbu12.2018.306
5. Гарипова Р.В., Берхеева З.М. Рецидив профессионального туберкулеза у медицинского работника. Практическая медицина. 2012; 56(1): 133-4. https://cyberleninka.ru/article/n/retsidiv-professionalnogo-tuberkuleza-u-meditsinskogo-rabotnika
6. Гарипова Р.В., Берхеева З.М., Решетникова И.Д., Мамкеев Э.Х. Вирусные гепатиты как один из видов профессиональной инфекционной патологии в здравоохранении. Общественное здоровье и здравоохранения. 2012; 3: 27-30. https://www.elibrary.ru/item.asp?id=17937253
7. Косарев В.В., Бабанов С.А. Профессиональные заболевания медицинских работников: монография. 4-е изд., перераб. и доп. Самара: Офорт; 2014. ISBN 978-5-473-00871-5
8. Гарипова Р.В., Берхеева З.М. Профессиональная патология органов дыхания у работников здравоохранения: вопросы современной диагностики. Мед. труда и пром. экол. 2020; 60(2): 89-92. https://doi.org/10.31089/1026-9428-2020-60-2-89-92
9. Novel Coronavirus (2019-n CoV). Situation Report - 8. World Health Organization (20. 01.2020). https://www.who.int/20200128-sitrep-8-ncov-cleared.pdf?sfvrsn=8b671ce5_2
10. Hui D.S., Azhar E.I., Madani T.A., Ntoumi F., Kock R., Dar O. et al. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health - The latest 2019 novel coronavirus outbreak in Wuhan, China. Int J Infec Dis. 2020; 91: 264-6. https://doi.org/10.1016/j.ijid.2020.01.009
11. Ackerman M., Mentzer S.J., Kolb M., Jonigk D. Inflammtion and Intussusceptive Angiogenesis in COVID-19: everything in and out of Flow. European Respiratory Journal. 2020. https://doi.org/10.1183/12993003.03147-2020
12. Ackerman M., Verieden S.E., Kuehnel M. et al. Pulmonary Vascular Endothelialitis, Thrombosis, and Angiogenesis in COVID-19. N Engl J Med 2020; 383: 120-8. https://doi.org/10.1056/NEJMoa2015432
13. Cardot-Leccia N., Hubiche T., Dellamonica J. et al. Pericyte alteration sheds light on micro-vasculopathy in COVID-19 infection. Intensive Care Med. 2020: 1-2. https://doi.org/10.1007/s00134-020-06147-7
14. Huertas A., Montani D., Savale L. et al. Endothelial cell dysfunction: a major p in layer SARS-CoV-2 infection (COVID-19)? Eur Respir J. 2020; 56: 2001634. https://doi.org/10.1183/13993003.01634-2020
15. Временные методические рекомендации Министерства здравоохранения РФ от 26.10.2020 года. Версия 9. «Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19)». https://static-0.minzdrav.gov.ru/МР_COVID-19_(v9).pdf?1603788097
16. WHO. Report on the burden of endemic health care-associated infection Worldwide. A systematic review of the literature. World Health Organization; 2011. https://apps.who.int/9789241501507_eng.pdf?sequence=1
17. Ing E.B., Xu Q.A., Salimi A., Torun N. Physician deaths from COVID-19. Occupational Medicine. kqaa128. https://doi.org/10.1093/occmed/kqaa128
18. Ing E.B., Xu Q.A., Salimi A., Torun N. Physician deaths from corona virus (COVID-19) disease [published online ahead of print, 2020 May 15]. Occup Med (Lond). 2020. https://doi.org/10.1093/occmed/kqaa088
19. Jayadevan R. A hundred lives lost: doctor deaths in India during the times of COVID-19. Preprints. 16 July 2020. https://doi.org/10.20944/preprints202007.0346.v1
20. Jordan R.E., Adata P., Cheng K.K. Covid-19: risk factors for severe disease and death. BMJ. 2020; Mar 26; 368: m1198. https://doi.org/10.1136/bmj.m1198
21. CDC COVID-19 Response Team. Severe Outcomes Among Patients with Coronavirus disease 2019 (COVID-19) - United States, February 12-March 16, 2020. MMWR Morb Mortal Wkly Rep. 2020; 69(12): 343-6. https://doi.org/10.15585/mmwr.mm6912e2
22. Mhango M., Dzobo M., Chitungo I., Dzinamarira T. COVID-19 Risk Factors Among Health Workers: A Rapid Review. Safety and Health at Work. 2020. https://doi.org/10.1016/j.shaw.2020.06.001
23. Temime L., Gustin M.-P., Duval A. et al. Estimating R0 of SARS-CoV-2 in healthcare settings. medRxiv (2020). https://doi.org/10.1101/2020.04.20.20072462
24. Wang J., Zhou M., Liu F. Reasons for healthcare workers becoming infected with novel coronavirus disease 2019 (COVID-19) in China. J Hosp Infect (2020) 105(1): 100-1. https://doi.org/10.1016/j.jhin.2020.03.002
25. Schwartz J., King C.-C., Yen М.-Y. Protecting healthcare workers during the coronavirus disease 2019 (COVID-19) outbreak: lessons from Taiwan's severe acute respiratory syndrome response. Clin Infect Dis (2020). Infection Control & Hospital Epidemiology. 2020; 41(6): 745-6. https://doi.org/10.1017/ice.2020.60
26. Ran L., Chen X., Wang Y., Wu W., Zhang L., Tan X. Risk factors of healthcare workers with corona virus disease 2019: a retrospective cohort study in a designated hospital of Wuhan in China. Clin Infect Dis. 2020; 19; 71(16): 2218-21. https://doi.org/10.1093/cid/ciaa287
27. Nacoti М., Ciocca A., Giupponi А. et al. At the epicenter of the Covid-10 pandemic and humanitarian crises in Italy: changing perspectives on preparation and mitigation. NEJM Catalyst Innovations Care Deliv. 2020; 1(2). https://doi.org/10.1056/CAT.20.0080/
28. Ortega R., Gonzalez M., Nozari A., Canelli R. Personal Protective Equipment and COVID-19. New England Journal of Medicine. https://doi.org/10.1056/NEJMvem201
29. Временные методические рекомендации Министерства здравоохранения Российской Федерации от 03.06.2020 года, версия 7 «Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19)». https://static-0.rosminzdrav.ru/system/attachments/attaches/000/050/584/original/03062020_МR_COVID-19_v7.pdf
30. Arzu Ari. Practical strategies for a safe and effective delivery of aerosolized medications to patients with COVID-19. Respiratory Medicine. 167 (2020); 167: 105987. https://doi.org/10.1016/j.rmed.2020.105987
31. van Doremalen N., Bushmaker T., Morris D.H. et al. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med. 2020 16; 382(16): 1564-7. https://doi.org/10.1056/NEJMc2004973
32. Ferioli M., Cisternino C., Leo V. et al. Protecting healthcare workers from SARS-CoV-2 infection: practical indications. Eur Respir Rev 2020; 29: 200068. https://doi.org/10.1183/16000617.0068-2020
33. Meng L., Hua F., Bian Z.J. Coronavirus Disease 2019 (CJVID-19): Emerging and Future Challenges for Dental and Oral Medicine. J Dent Res. 2020; 99(5): 481-7. https://doi.org/10.1177/0022034520914246
34. Yu J., Ding N., Chen H. et al. Infection control against COVID-19 in departments of radiology. Acad Radiol. 2020 May; 27(5): 614-7. https://doi.org/10.1016/j.acra.2020.03.025
35. Kampf G., Todt D., Pfaender S. et al. (2020) Persistence of coronavirus on inanimate surfaces and their inactivation with biocidal agents. J Hosp Infect. 2020; 104(3): 246-251. https://doi.org/10.1016/j.jhin.2020.01.022
36. Mutambudzi M., Niedzwiedz C.L., Macdonald E.B., Leyland A.H. et al. Occupation and risk of severe COVID-19: prospective cohort study of 120,075 UK Biobank participants. medRxiv. 2020.05.22.20109892. https://doi.org/10.1101/2020.05.22.20109892
37. Rajakaruna S.J., Liu W.B., Ding Y.B. et al. (2017) Strategy and technology to prevent hospital-acquired infections: Lessons from SARS, Ebola, and MERS in Asia and West Africa. Mil Med Res. 2017 Oct 27; 4(1): 32. https://doi.org/10.1186/s40779-017-0142-5
38. Chowell G., Abdirizak F., Lee S., Lee J. et al. Transmission characteristics of MERS and SARS in the healthcare setting: a comparative study. BMC Med. 2015;13: 210. https://doi.org/10.1186/s12916-015-0450-0
39. Baker M.G, Peckham T.K., Seixas N.S. Estimating the burden of United States workers exposed to infection or disease: a key factor in containing risk of COVID-19 infection. PLoS One. 2020; 15(4): e0232452. https://doi.org/10.1371/journal.pone.0232452
40. Andelakis E., Azhar E.I., Bibi F. et al. Paper money and coins as potential vectors of transmissible disease. Future Microbiol. 2014; 9(2): 249-61. https://doi.org/10.2217/fmb.13.161
41. Semple S., Cherrie J.W. Covid-19: Protecting Worker Health. Annals of Work Exposures and Health. 2020; 64(5): 461-4. https://doi.оrg/10.1093/annweh/wxaa033
42. Сenter for Disease Control and Prevention. Return-to-Work Criteria for Healthcare Workers | CDC. https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/hcp-return-work
43. COVID-19: Management of Exposed Healthcare Workers and Patients in Hospital Settings - GOV.UK [cited 1 May 2020]. https://www.gov.uk/government/publications/covid-19-management-of-exposed-healthcare-workersand-patients-in-hospital-settings/covid-19-management-ofexposed-healthcare-workers-and-patients-in-hospital-settings
44. Zhang J.C., Findlater A., Cram P., Adisesh A. Retum to work for healthcare workers with confirmed COVID-19 infection, Eur Respir Rev. 2020; 3(29(155)): 200068. https://doi.org/10.1183/16000617.0068-2020
45. Gohar B., Larivière M., Nowrouzi-Kia B. Sickness absence in healthcare workers during the COVID-19 pandemic. Occupational Medicine: kqaa093. https://doi.org/10.1093/occmed/kqaa093
46. Geiger-Brown J., Rogers V.E., Trinkoff A.M., Kane R.L., Bausell R.B., Scharf S.M. Sleep, sleepiness, fatigue, and performance of 12-hour-shift nurses. Chronobiol Int. 2012 Mar; 29(2): 211-9. https://doi.org/10.3109/07420528.2011.645752
47. Schreuder J.A., Roelen C.A., van Zweeden N.F., Jongsma D., van der Klink J.J., Groothoff J.W. Leadership styles of nurse managers and registered sickness absence among their nursing staff. Health Care Manage Rev 2011; 36: 58-66. https://doi.org/10.1097/HMR.0b013e3181edd96b
48. Schreuder J.A., Roelen C.A., van Zweeden N.F., Jongsma D., Van der Klink J.J., Groothoff J.W. Leadership effectiveness and recorded sickness absence among nursing staff: a cross-sectional pilot study. J Nurs Manag. 2011; 19(5): 585-95. https://doi.org/10.1111/j.1365-2834.2010.01198.x
49. Nocera M., Merritt C. Pediatric critical event debriefing in emergency medicine training: an opportunity for educational improvement. AEM Educ Train. 2017; 1(3): 208-14. https://doi.org/10.1002/aet2.10031
50. Покровский В.И., Акимкин В.Г., Брико Н.И., Брусина Е.Б., Зуева Л.П., Ковалишина О.В. и др. Внутрибольничные инфекции: новые горизонты профилактики. Эпидемиология и инфекционные болезни. 2011; 1: 4-7. https://doi.org/10.17816/EID40498
51. Al-Tawfig J.A., Tambyah P.A. Healthcare associated infections (HAI) perspectives. J Infect Public Health. Jul-Aug 2014; 7(4): 339-44. https://doi.org/10.1016/j.jiph.2014.04.003
52. Рекомендации по организации противоэпидемического режима в медицинских организациях при оказании медицинской помощи населению в период сезонного подъёма заболеваемости острыми респираторными инфекциями и гриппом в условиях сохранения рисков инфицирования новой коронавирусной инфекцией (COVID-19). Методические рекомендации МР 3.1.0209-20. 3.1. Профилактика инфекционных болезней. Москва; 2020. http://profilaktika.su/metodicheskie-rekomendatsii-mr-3_1_0173-20-organizatsiya-protivoepidemicheskih-meropriyatij-pri-pandemii-covid-19/
53. COVID-19 should be recognized as an occupational disease worldwide. Bente E Moen 01 June 2020. The Author(s) 2020. Published by Oxford University Press on behalf of the Society of Occupational Medicine. https://ww1.issa.int/news/can-covid-19-be-considered-occupational-disease
54. Руководящие принципы Международной ассоциации социального обеспечения (International Social Security Association - ISSA): предотвращение профессиональных рисков (2019). https://ww1.issa.int/ru/guidelines/prev
55. Health and Safety Executive. Management Information: Coronavirus (COVID-19) Disease Reports. Made by employers to HSE and Lokal Authorities since 10 April 2020. https://www.hse.gov.uk/statistics/coronavirus/index.htm
56. Recording and notification of occupational accidents and diseases. An ILO code of practice. Geneva: ILO; 1996: 97. https://www.ilo.org/wcmsp5/groups/public/%40ed_protect/%40protrav/%40safework/documents/normativeinstrument/wcms_107800.pdf
57. Порядок экспертизы связи заболевания новой коронавирусной инфекцией COVID-19 медицинских работников и немедицинского персонала с профессиональной деятельностью. Методические рекомендации. МР ФМБА России - 38 2020. Москва; 2020.
58. Разумов А.Н., Пономаренко Г.Н., Бадтиева В.А. Медицинская реабилитация пациентов с пневмониями, ассоциированными с новой коронавирусной инфекцией COVID-19. Вопросы курортологии, физиотерапии и ЛФК. 2020; 97(3): 5-13. https://doi.org/10.17116/kurort2020970315
59. Barker-Davies R.M., O'Sullivan O., Senaratne K.P.P. et al. The Stanford Hall consensus statement for post-COVID-19 rehabilitation. Br J Sports Med Epub ahead of print. https://doi.оrg/10.1136/bjsports-2020-102596
60. Rajkumar RP. COVID-19 and mental health: a review of the existing literature. Asian J Psychiatr. 2020 Aug; 52: 102066. https://doi.org/10.1016/j.ajp.2020.102066
61. Li W., Yang Y., Liu H. et al. Progression of mental health services during the CОVID-19 outbreak in China. Int J Biol Sci. 2020; 16(10): 1732-8. https://doi.org/10.7150/ijbs.45120
62. Lu W., Wang H., Lin Y., Li L. Psychological status of medical workforce during the COVID-19 pandemic: a cross-sectional study. Psychiatry Res. 2020; 288: 112936. https://doi.org/10.1016/j.psychres.2020.112936
63. Tsamakis K., Rizos E., Manolis A. et al. COVID-19 pandemic and its impact health of healthcare professionals. Exp Ther Med. 2020 Jun;19(6): 3451-3453. https://doi.org/10.3892/etm.2020.8646.
64. Liu S., Yang L., Zhang C. et al. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry. 2020; 7(4): e17-e18. https://doi.org/10.1016/S2215-0366(20)30077-8
65. Maunder R.G., Lancee W.J., Balderson K.E. et al. Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. Emerg Infect Dis. 2006; 12(12): 1924-32. https://doi.org/10.3201/eid1212.060584
66. Simms A., Fear N.T., Greenberg N. The impact of having inadequate safety on mental health, Occup Med (Lond). 2020; 20; 70(4): 278-81. https://doi.оrg/10.1093/occmed/kqaa101
67. Matteusson J., Tiplady A., Gerakios F., Foley A., Murphy E. Implementation and analysis of a telephone support service during COVID-19, Occup Med (Lond). 2020; 70(5): 375-81. https://doi.org/10.1093/occmed/kqaa095
68. Shortages of Protective Equipment Must Not Continue, RCP Tells Health Secretary. RCP London. 2020. https://www.rcplondon.ac.uk/news/shortages-protective-equipment-must-not-continue-rcp-tells-health-secretary
69. Farquhar M., Unadkat S. Doctors' wellbeing: self-care during the covid-19 pandemic. BMJ. 2020 Mar 24; 368: m1150. https://doi.org/10.1136/bmj.m1150
70. Greenberg N., Docherty M., Gnanapragasam S., Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ. 2020; 368: m1211. https://doi.org/10.1136/bmj.m1211
71. Epstein E.G., Hamric A.B. Moral distress, moral residue, and the crescendo effect. J Clin Ethics 2009; 20: 330-42. https://pubmed.ncbi.nlm.nih.gov/20120853/
72. Roycroft M., Wilkes D., Pattani S., Fleming S., Olsson-Brown A. Limiting moral injury in healthcare professionals during the COVID-19 pandemic. Occup Med (Lond). 2020; 70(5): 312-14. https://doi.org/10.1093/occmed/kqaa087
73. Chen Q., Liang M., Li Y. et al. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry. 2020; 7(4): e15-e16. https://doi.org/10.1016/S2215-0366(20)30078-X.74
74. Pandemic. 2020 URL: https://www.aomrc.org.uk/trainee-doctors
75. McAteer G., Gillanders D. Investigating the role of psychological flexibility, masculine self-esteem and stoicism as predictors of psychological distress and quality of life in men living with prostate cancer. Eur J Cancer Care (Engl) 2019; 28: e13097. https://doi.org/10.1111/ecc.13097
76. Moldofsky H., Patsai J. Chronic widespread musculoskeletal pain, fatigue, depression and disordered sleep in chronic post-SARS syndrome; a case-controlled study. BMC Neurol. 2011; 11: 37. https://doi.org/10.1186/1471-2377-11-37
77. Daher A., Balfanz P., Cornelissen C. et al. Follow up of patients with severe coronavirus disease 2019 (COVID-19): Respir Med. Nov-Dec 2020; 174: 106197. https://doi.org/10.1016/j.rmed.2020.106197
78. Walker-Bone K., Channa S., Leeser J., Kause J., Skidmore A., Smedley J. Occupational health the thin line protecting the front line. Occup Med (Lond) 2020; 70: 292. https://www.southampton.ac.uk/medicine/about/staff/kewb1e13.page
79. Walker I., Powers C., Fortescue-Webb D., Montague C., Skidmore A., Walker-Bone K., Fraser S. An alliance with public health in pursuit of COVID-19 evidence. Occupational Medicine; kqaa164. https://doi.org/10.1093/occmed/kqaa164
Рецензия
Для цитирования:
Горблянский Ю.Ю., Конторович Е.П., Понамарева О.П., Волынская Е.И. Профессиональные аспекты новой коронавирусной инфекции (COVID-19). Медицина труда и промышленная экология. 2021;61(2):103-114. https://doi.org/10.31089/1026-9428-2021-61-2-103-114
For citation:
Gorblyansky Yu.Y., Kontorovich E.P., Ponamareva O.P., Volynskaya E.I. Professional aspects of the new coronavirus infection (COVID-19). Russian Journal of Occupational Health and Industrial Ecology. 2021;61(2):103-114. (In Russ.) https://doi.org/10.31089/1026-9428-2021-61-2-103-114
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